Individual provider Active NPI

Shannon John Colwin, MA

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1447042379
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8390226 Issued in WI
Practice address
2909 Landmark PL Ste 210
Madison, WI 53713-4200
Phone
(855) 458-4966
Fax
(855) 458-4966
NPI assigned
May 19, 2025
Last updated
May 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8390226 WI Primary

Addresses

Primary practice location

2909 Landmark PL Ste 210
Madison, WI 53713-4200

Mailing address

2590 Gladeview Rd
Cottage Grove, WI 53527-9531
Phone (920) 251-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
8390226WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthyminds, LLC CurrentSince May 25, 2025 Accepting new patients

Locations

2909 Landmark Pl
Ste 210
Madison, WI 53713
Phone (608) 239-8807

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1447042379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 GLADEVIEW RD",
            "city": "COTTAGE GROVE",
            "state": "WI",
            "postal_code": "535279531",
            "telephone_number": "920-251-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 LANDMARK PL STE 210",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134200",
            "telephone_number": "855-458-4966",
            "fax_number": "855-458-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLWIN",
        "first_name": "SHANNON",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "8390226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.